Individual provider · Type 1 NPI

Michelle Martin Southard, DO

Plastic and Reconstructive Surgery Physician · Fort Worth, TX

NPI number 1992045090 Active

Practice location

800 8th Ave Ste 116
Fort Worth, TX 76104-2606

Call (817) 335-6363 Map

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician 208200000X5101020787 (MI)
Plastic Surgery Physician 208200000XP4783 (TX)
Plastic and Reconstructive Surgery Physician 2086S0122X5101020787 (MI)
Plastic and Reconstructive Surgery Physician Primary 2086S0122XP4783 (TX)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

4 other providers at this address

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About NPI 1992045090

Michelle Martin Southard, DO's National Provider Identifier is 1992045090, issued on Feb 26, 2013. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Fort Worth, TX. The record was last updated on Jun 21, 2023.